Doctor Name: | ADAM BINDRUM |
NPI Number: | 1093045718 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 000519 |
Business Practice Address: | 11 N Main St Randolph, VT - 050601126 |
Business Phone Number: | 8027284466 |
Business Fax Number: | |
Mailing Address: | 11 N Main St, RANDOLPH |
State: | VT |
Postal Code: | 050601126 |
Phone Number: | 8027284466 |
Fax Number: | |
NPI Enumeration Date: | 12/31/2009 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000519 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |